Jun 11, 2018 - Scoliosis and Spinal Disorders 2018, 13(Suppl 1):O1 ... scoliosis (AIS) is that the thoracic spine is longer anteriorly than posteriorly, most ...
Scoliosis and Spinal Disorders 2018, 13(Suppl 1):8 https://doi.org/10.1186/s13013-018-0154-2
MEETING ABSTRACTS
Open Access
Abstracts of the International Research Society on Spinal Deformities (IRSSD) Meeting 2018 Utrecht, the Netherlands. 14-16 June 2018 Published: 11 June 2018
O1 Health care professionals recognize adolescent idiopathic scoliosis in earlier stage compared to untrained adults Charlotte de Groot, Johan L. Heemskerk, Mark C. Altena, Diederik H. R. Kempen OLVG, JointResearch, Amsterdam, The Netherlands Scoliosis and Spinal Disorders 2018, 13(Suppl 1):O1 Introduction/ background In the Netherlands, routine mandatory school screening for scoliosis was abandoned in 2010 because the effectiveness and efficiency of the screening program was questioned. Due to canceling of the scoliosis screening program, detection of the scoliosis now depends on the ability of parents or acquaintances of the child to recognize their deformity. For trained health care workers, the sensitivity and specificity of the bending test varies from 46 to 84% and 78 to 93%, respectively. However, the ability to detect a scoliosis for untrained adults is unknown. Therefore, the aim of this study is to evaluate the ability to detect a scoliosis and determine the sensitivity of the bending test of a selected population in untrained adults. Objectives The primary aim of this study is to evaluate the ability of untrained adults to recognize a scoliosis in a selected population of scoliotic and nonscoliotic patients. We hypothesize that the external curve characteristics (Cobb angle or lumbar vs thoracic curves) influence the ability to recognize the scoliosis. Method The study is an observational cohort study. After obtaining informed consent, standardized photographs of scoliotic and non-scoliotic children were obtained in the upright and the Adam’s forward bending test position. These pictures were used for a questionnaire including 28 pictures with different curve sizes and locations of the curve. Subsequently, 100 untrained adults and 120 health care professionals between 25-55 years were approached to complete the questionnaire. Statistical analysis was done using an independentsamples t-test. Results Untrained adults are less likely to recognize scoliosis then health care professionals. (62% vs. 72% p 0.05). Postoperative x-rays showed no statistically significant difference in Cobb angles (13.7 vs 13.6°), thoracic kyphosis (27.1 vs 24.4°), lumbar lordosis (55.8 vs 57.6°) and rod contour change (ΔMRDD: 1.1 vs 1.4 mm; ΔAT: 1.8 vs 3.1°), respectively (all p values > 0.05). In patients with thoraco-lumbar (TL) fusion (n=13 in each group), postoperative TL angle (T10-L2) was significantly lordotic in C group (-7.3°) compared to PS group (-0.3°, p20 years after brace or surgical treatment Johan L. Heemskerk1, Mark C. Altena1, Bernard E. E. M. J. Veraart1, Rene M. Castelein2, Diederik H. R. Kempen1 1 Department of Orthopedic surgery, OLVG, Amsterdam, The Netherlands; 2 Department of orthopedic surgery, UMCU, Utrecht, The Netherlands Scoliosis and Spinal Disorders 2018, 13(Suppl 1):P20 Introduction Treatment of IS attempts to alter the natural history of this disease and prevent future problems in adulthood. However, there is limited
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information on the effects of treatments on QoL & back problems in middle aged IS patients. Objectives To evaluate QoL in middle aged IS patients and compare this with an age matched reference cohort without scoliosis. Methods IS patients, treated during childhood between 1978-1996 at the Amsterdam OLVG hospital, were selected from a historic database and contacted to participate in this study. Patients were treated with Boston brace or operated by Harrington spondylodesis at least 20 years ago. They were send a digital questionnaire focusing on back pain(Oswestry Disability Index) & QoL(SF-36). SF-36 was compared with a local age matched reference cohort(N=4172) in Amsterdam (mean age 43 yrs). Results Currently 183 patients completed the questionnaire of the 402 eligible patients. Patients(81% women) had an age of 43±3.6yrs with a follow up of 28±4yrs. 136 patients were brace treated(BT) and 47 were surgically treated(ST). BT patients had a Cobb of 32°±12 at end of treatment. Age at surgery was 16±3.1yrs with a Cobb of 57°±10 before surgery. At early adulthood, Cobb of the BT and ST group were 34°±14 and 35° ±12, respectively. 70% of BT and 83% of the ST patients had back pain with a ODI of 9±10 and 19±19, respectively. Scores on the SF-36 domains were all lower in ST cohort compared to the BT cohort and were significant in 6 of the 8 subscales(P
